# MATTHEW SCHNEIDER DPM INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316239080
- **Authorized official:** DR. MATTHEW LOUIS SCHNEIDER DPM (DOCTOR)
- **Authorized official phone:** (310) 442-1975

## Contact information

- **Practice address:** 11633 SAN VICENTE BLVD, SUITE 200, LOS ANGELES, CA 90049-6511
- **Practice address phone:** (310) 442-1975
- **Practice address fax:** (310) 442-1977
- **Mailing address:** 11633 SAN VICENTE BLVD, SUITE 200, LOS ANGELES, CA 90049-6511
- **Mailing address phone:** (310) 442-1975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4902 | CA | Yes |

## Other

- **Enumeration date:** 05/12/2011
- **Last updated:** 07/21/2011
